Provider Demographics
NPI:1831711860
Name:MIJAL, ASHLEY ELIZABETH (APNP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ELIZABETH
Last Name:MIJAL
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:E
Other - Last Name:SCHMUHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APNP
Mailing Address - Street 1:PO BOX 22487
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54305-2487
Mailing Address - Country:US
Mailing Address - Phone:920-445-7210
Mailing Address - Fax:920-445-7289
Practice Address - Street 1:311 N 3RD AVE
Practice Address - Street 2:
Practice Address - City:STURGEON BAY
Practice Address - State:WI
Practice Address - Zip Code:54235-2401
Practice Address - Country:US
Practice Address - Phone:920-743-0255
Practice Address - Fax:920-743-6680
Is Sole Proprietor?:No
Enumeration Date:2020-05-13
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10059-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
F01201617OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS